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HomeMy WebLinkAbout025-190-051r-9), THOMAS DICKERSON h 185 Ord Ranch Rd, 'ridleyContr: M,I,U. Const,'Socto Permit#1748-86E(install smoke det/25-19-51 u I Permit #1748-86E Thomas Dickerson .185 Ord Ranh Rd, Gridle- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, #liforry'a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. �J f_ - ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERh I nw1�5 %%� � r r TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME •// ��� �� !� /�(/ ��HO 73)1 CONTRACTOR'S MAILING ADD f V' J 2 % IWO 071j Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSOY r (,f Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 F Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL ?44P /J Water piping 5.00 Each qas water heater or vent 5.00 Nr r USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other LJ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New Addition❑ ,./R.emodeID, Utilioties❑ Installation Other Other Describe work: j1 t/�iy��. �< ,� I )r Ir /' f i% r"� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyperjury r of p I y (Check One): ;Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OCCUP.ai) yzQsgft OR ADONIS. ACC. BLDGS. NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS (SINGLE OUTLET CIR. Ex.00Cup(OUTLETSOR FIXTURES 2ALe3t eAL030 FIXED Ex. OCCUp. OUTLETS PLINIS R IRESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 1 ) 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa'd oUntyrin consequence of the granting of this permit. X Id- �/�L��`G- Date Signature of A licant Owner g pp " ❑ Contractor Agent ❑ An OSHA t permit is.Fequlred for excavations over 5'0" eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCup* CONST*TYPFJ I I FLOOD PARCEL PD HD 3311E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO F° PUB ICjWORKS / / By .+.E SWI .� Date'! PERMIT EXPIRES Date �11 Receipt No. �! 7 � `7 WHITE-D.P.W., YELLOW-ASeC330R PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, 9pIiforf* 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N ASSESSOR ARRCEL NU BER I ZONING BUILDING PERMIT owl TELEPHONE SQ. FT. OCC. BUILDING VA ATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME CONTRACTOR' M ILIN}=DDI�F�S�(ry/�\n/ (-�(�1,/7 o//C/U�/ Fireplace 4$ CONSTRUCTION LENDER NKNOWN Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Q� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 in Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P PARCEL 4114 Water piping 5.00 Each qas water heater or ve-it 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 out ets 5.00 Building sewer 5.00 Mobile Home S I G I 'IV 10.00ea TYPE OF WORK New ❑ Additio er►/� el Uti l'`ties ❑ 10-ipll tion Ot✓herr Describe work: �`/ � / !110 s In H/� (' 2 r _ ]_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 60.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L ,OC AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess's Code my license is in full force and effect. License No. Classification F-1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8 OR ADDNS. ACC. BLDGS. , /22sq ft NEW NON.RESID R. BRANCH CT LETITS 2.50 ea jj POWER APPAR4TUS e (SINGLE OUTLET cIR. Ex. Occup(OUTLETS OR FIXTURES 20®506 5ALO 90 Ex. QCCUp. OUTLETS (FIXED FRES D )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 W,0 C2 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice o Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgm ts, costs, and expenses which may in any way accrue against s'd t i, consequence of the granting of this permit. %c Date Signature of Appli ant Owner ❑ Contractor Agent ED Agent An OSHA permit isi equired for excavations over 5'0" ep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OC cup. CONST.TYPE –[—FLOOD PARCEL PO ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which Q RECT PUB By PER XPIRES Date the applicable provi- resolutions to do fees have been paid. C ORKS Date Receipt No. •)` l WHITE-D.P.W.. YELLOW -ASSESSOR, INR -INSPECTOR, GOLDENROD -APPLICANT